DERRICK HENDERSON

Community Health Worker

Active Individual
NPI: 1902673668

Practice Address

3005 LONG PINES DR
Shreveport, LA 71119

Phone: (318) 572-6337

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1902673668 is the National Provider Identifier for DERRICK HENDERSON, a Community Health Worker provider located in Shreveport, LA. This NPI was enumerated on December 4, 2023.
DERRICK HENDERSON practices at 3005 LONG PINES DR, Shreveport, LA 71119.

Quick Facts

NPI
1902673668
Type
Individual
Enumerated
Dec 4, 2023
Last Updated
Dec 4, 2023

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